Permit - , m.:(-. CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
. COMMUNITY DEVELOPMENT Permit #: ELR2010 -00091
I0 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/20/2010
TIGAFLD Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 710
Subdivision: LINCOLN TOWER Lot: 0
Project: Axiom EPM
Project Description: Data /telecommunications.
FEES
Owner:
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Restricted Energy Permit 05/20/2010 $67.84
CALIFORNIA ST 49TH FL 12% State Surcharge - Electrical 05/20/2010 $8.14
PHONE: •
Contractor:
TECHNOCOM INC
7929 SW BURNS WAY STE. F
WILSONVILLE, OR 97070
PHONE: 503 - 682 -4195
FAX: 503 - 682 -2781
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: Y Fire Alarm: N
HVAC: N Instrumentation: N Total $75.98
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N Required Items and Reports (Conditions)
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N
Other Desc:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/�
Issued By: Permittee Signature: [/ >97 % L!'770/V
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 603.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
/ _ •1 - , M� UT For' rr�� fR,ti 1
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Electrical Permit Applica i I " M. �� ' �' .. , M �4
Received // t Penuit No.: E� a / / -de /
°� C ity of Tigard UA Plan Review
Y 1 8 2010 nx,,E3 / : ,S12e) //d . d - -d J
f 13125 SW Hall Blvd., Tigard, OR 972 ache: PcrmiC�//P�Q /Q �o04f�
t t , I Phone: 503.639A171 Fax: 503.598.1960 Da gi: Other 4 Fil See Page 2 for
,r+r r 1, . inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By J' Su let P 2 for
11 ` LDING DIVISION Notified/Method:
(c� ti ntMS Internet: www.tigard-or.gov
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t., 0 s_ � n . . �3 i o .n`r - :• :1 E l A iii Please check all that apply (submit 2 sets of plans w /items checked below):
[] New construction ® Addition/alteration/replacemt Addition/alteration/replacement 0 Service or feeder 400 amp or more U snarling over three forks
Other: were the available fault current C7 Marinas and boatyards.
❑ Demolition • N a t-- r:�� •t a . ` r- s Yt f w exceeds 10 000 amps at 150 volts or ❑ Floating buildings.
1)' r "'"7 l r' V• 1 74"`.F F"aA.'7v,°1ii e- a ` ' .• r : '' �,+ ' 1 3 r e \7 a ,f `rMr l 41 1 ,�u —,..,E,' d -
'. Jcti "�
t ag f ed .. ,.. • .N' • w* 4 a'I i a ''a : .4m t..or ''. r * " d& v .6y,, 4 ^r."" less to ground, or uxcccda 14,000 0 Commented -use a
0 Multi family y g ustrial 0 Access. .uilding a mps for alt other instillations. buildings.
1 • and 2 latntl dwelling Commercial/industrial g � Installation of 75 KVA or
❑ Fire pump
M aster b uilder ❑Other a ry y; larger se separately derived systcnt
1 y 1]e mer en. : tom. P
M 'i" , , ,t 't l f n ' r .,„ Y c ` s ,, 1 , , 1,„, 6 ' i ` � l.1 , ;� R ' y h + , ; 4 r i rt t ; 1,i . D A dd ition of new motor luad of 0 "A”, , .b .. "1-2'', ..1.3 ",
a;:.,,,,,; i t // is:;4 " a .. :r., w: . ,,a . ue ,, L A,: a ls, ..- s,L2L,;anc,,,rf . »,atLt,�,u_.r s ' ,: .t ' s i -.,; + L
100HP or more. occupancy.
lob no.! 104028 Job site address: 10260 SW GREENBURG Rr) 0 Six or more residential units. ❑ Recreational vehicle parks.
❑ Heeltlrcart: Wilma, 1:1 Supply voltage for mow than
City/State/ZIP: TIGARD, OR 97223 ❑ Hazardous locations 600 volts nominal.
Q Service or feeder 600 amps or more.
Cross street/directions to job site: LINCOLN TOWER 1
Suite/bldg. /apt. no.; 710 Project name: AXIOM EPM n , r fr ,, o 1r , , s ^x 4 rx: rr ;;,
.. lzaaw Ka � Tow 0
Danl. tin's
r New residential single- or multi dwelling unit.
Includes attached garage.
1,000 sq , ft. or l es s 1 68.54 _ 4
E. add'I 500 sq. ft. or portion
L.t no.: 33 -92 1
Subdivision: Ea
Tax map /parcel no.: Limited ennrb ', residential 67.84 —
2
r y r r 7,- , , l .^ y K7a y CF.V4 j1) t 1 °k. rc 1r with above s4. ft -)
r n } r '' ,r y i , rnl . ti :- -i ' t i 1 ), } e ,7 i j•Z i, , l ".a.fz,'. c �' }° •ria e,
1r { ; k _ _, ";�, :iM ., .. ,.: �' �,.,. Limited nni'y, multi•fhlnily 67.84 2
VOICE/DATA CABLING residential (with above 9y. fl.) i
_ Services or feeders installation'. alteration and/or relocation
200 amps or less 100.70
Il
„ au 4 r• sr: , zzl'a a ,c a0 ,� iL i' 201 amps to 400 amps 133.56
n,. B 'l."4 1 3 a d ,I; ''1,n' l ^ L'er H r V ^? t ,a I• ,
/ at`'r? a,,:a, •'4y , , • a ^ ;t; sum / + °'v 'f•-- ... r, :r� r e t slut . •, Z :.,« 7 :' 401 amps to 600 amps 200.34
Name: — 601 amps to 1,000 slaps
301.04 2
Over 1,000 amps or votts 552.26
Address: Temporary services or feeders installation, alteration, and/or
City /State/LIP: relocation 1
2 00 pin o less
59.36
Phone: ( ) J Fax: ( ) 201 amps to 400 amps — 125.08 2
Owner installation: This installation is bein g property 401 amps to 599 amps 168.54 2
made on ro that o which is not
intended for sale, lease, rent, or exchange, accordirrg to ORS 447, 44' , 70, and 701.
brunch clrwllo - ucw, nitcrutiow or extension, per puueL
Dal A. Fee for branch circuits with
Owner Signature �, r L [..y ;U x 5 r } above service or feeder fee, 7 42 2
1 r'Yr r •s I-• ti4 r .,)p : , 4- J ';,:, -,,, �, i c 'K 4 /.M $ .. ..
r CaC116YanOh circuit
xV •4 r 4 r - •l. 1,: s ,r r < fY'p 4• a nd a I k , f x p � .�"�' -!• X >.G 4.,1 i , ,,,,, r l9c+lrr...,�G rc : -,u -. •w .r , .� 1 •.s!:t.nc ti. B. Fee for branch circuits without
Business name: TECHNOCOM, INC service or feeder fee, first 56,18
branc circuit
Contact name: JEFF SAN DNER — Each add'I branch circui 7
Miscellaneous (serv or feeder not included)
Address: 7929 SW BURNS WAY, STE F Each manufactured or modular 67.84 2
City /State/ZIP: WILSONVILLE, OR 97070 u ico ,md/or feeder
Reconnect only 2
y _ 67.84
Phone: (503) 682 -4195 Roc: : (503 -) 682-27 Pump or irrigation circle 67.84 '
E-mail: J•sandner@goteebnocom com Sign or outline honing 67.54 2 e.
r { 1 1 7 ,,. d , 1, d _ A+ r ,1 Lt ,,, r ` t f ," L Y . ` � 4 : r ' . - t rya r ' t ' x g ,dl : �;;;1, :. Signa clrcu t(s) o r li - 1 67.84
, ;,rte.. ".� .» :. P ale 2
r�t ;, .
. ,a ■�,�.,'...;.. � anC allaration. Ol'extCns 1
Business name: TECHNOCOM, INC Lach additional Inspection over allowable 1n an of the above
Additional inspection (1 hr min) II 66.22S/ hr
Address: 7929 SW 13 URNS WAY, STE F Investigation (1 hr min) 66.35) hr
City/State/ZIP: WR.SONV1LLE, OR 97070 industrial plant (1 hr man) .
ax: (503) 682 -278 Inspections for which no fee is 90.00 / hr
Phone: (503) 682 -4195 — a Clfieull listed '� hr min) r - rt h WpJ, , a v
'C T: fl r''grr i t l.4 ir ti J h.�S n , g Yl. *' a,'
Electrical Lie.: 34 269CI Sup ,ic.: 2281LEA ! o-, i ---� -� � 5, gf J
CCB Lic.: 73872 Fax:
_ subtotal: 67.84
f p Plan review (25% of permit fee):
Suprv. Elet ui, ian sib`nnture, raquiretl ...� �' /�L State surcharge (12% of permit far): 8.14
/ 5 /18/10
Print name: JEFF SAN C. DNER Q
TOTA1. PERMIT FEE: ----- 75.98 t•—•-''' � (hh p ermit rpll llearion nx if a pp h nut obtained 1dn 18f1
m ommi Authorized signature: J � , � � / � d ays after it has been accepted as complete.
within
/ rt. 1)5/18/10 * Number of iospectious allowed per permit.
Print name: JEFF SAND
440•4615T(I 1 /05 /COM/W EB
[.1B ere,suit6. ..C- P,v 10/O1/09
Electrical Permit Application - City of Ti = a d
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
d� ���}�i�p . �t4. �:' �1��p. ����. �..'' ^a�st1���•.rr.i�..���,'�.,.c�1n �wu�n,�rrA'hrr �r�6���y7iri
Fee for all residential systems combined ... X67.:
Check Type of Work Involved:
0 Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System
❑ Vacuum Systems*
0 Other.
r«I f ir.. «.y�4.t t>. ' ^ .a Glr ttA r"' S,1„v
U'fW
Fee for each commercial $67. :4
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
• Audio and Sicreo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ rim Alarm Inetallat ion
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
[] Outdoor Landscape Lighting
• Protective Signaling
❑ Other
Total number of commercial systems: 1
*No licenses arc required. Licenses are required
for all other installations
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